TinnitusWars · Order Form
Subsidiary of SinusWars LLC

Please print out this form, fill it in, and post with the money order to :
SinusWars LLC
501 Silverside Road, Suite 105
Wilmington
DE 19809
USA

First Name:

Surname:

Shipping Address:

City:

State:

Zip Code:

Country:

Telephone:

Fax:

Email:

Please double check the email address. We need it to send a confirmation of the order.

Please supply me with the following Remedies:
Please note that 1 unit consist of a six week supply and SinusWars #17 consist of a 12 week supply

Units

Remedy

Price per unit in US$

Totals in US$

SinusWars 4 – Ear Infections

35.00

SinusWars 16 - Tinnitus

35.00

SinusWars 17(12 week supply) - Meniere's Disease

70.00

SinusWars 18 - Hyperacusis

35.00

SinusWars 19- Vertigo

35.00

Please choose a shipping method
USA SHIPPING METHODS (Shipped from the US)

		Total
USPS PRIORITY MAIL Shipping delivery within 3-10 days	$5.00
UPS Ground Shipping delivery within 3-6 days	$7.00
UPS 3 day shipping delivery within 2-5 days	$12.50
UPS Second day shipping delivery is 2 Business Days	$22.00
UPS Next Day shipping is 1 business day.	$35.00

International (Worldwide) Shipping methods

USPS delivery within 7-10 days	$12.50
Remedies Total
Shipping Cost
Total $